Candice Myers, LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Youngsville, LA
NPI 1699538124 · NPPES record last updated Feb 8, 2024
Key facts
- NPI
- 1699538124
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- CANDICE MYERS, LLC
- Practice address
- 814 Fortune Rd Ste 108
Youngsville, LA 70592-5542 - Phone
- (337) 573-4132
- Fax
- (337) 573-4161
- NPI assigned
- Feb 6, 2024
- Organization subpart
- No
Authorized official
- Name
- Candice Myers, PMHNP, WHNP
- Title
- Owner
- Phone
- (337) 519-1249
Practitioners 1
-
Candice Myers, WHNP, PMHNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241114000192 | LA | Part B Supplier - Clinic/Group Practice | 5698209518 |
Receives reassigned benefits from 1 practitioner Practice locations: Youngsville, LA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
814 Fortune Rd Ste 108
Youngsville, LA 70592-5542
Mailing address
112 Sweetwater Creek Dr
Youngsville, LA 70592-5779
Phone (337) 519-1249
Other providers in Youngsville, LA
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- Stacy B Byler
- Madison Alexa Byrd
- Lauren Caffery
- Andrew Bryan Bryan Campbell
- Tonya Capterville
- Careway Transport, LLC
- Crystal Renee Carson
- Tawana M Carson
- Donni Dakota Carter
All providers in Youngsville, LA · Psychiatric/Mental Health Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.